N.J. Admin. Code § 8:33C-2.7

Current through Register Vol. 56, No. 23, December 2, 2024

Section 8:33C-2.7 - Regional perinatal and pediatric plan

(a) Each MCHC certificate of need applicant shall submit a regional perinatal and pediatric plan to the Department for approval, with projections for the following five years, as the basis for the establishment of the consortium. The regional perinatal and pediatric plan shall include each of the components listed in (b) below, and shall be updated and approved by the Department annually.

(b) The specific components of the regional perinatal and pediatric plan shall include the following:

1. A needs assessment which describes the status of the maternal and child health services region at the time the plan is developed with respect to: the occurrence of infant mortality; low birth weight births; the proposition of women receiving risk appropriate prenatal care; number of births to adolescents; the occurrence of pediatric mortality and morbidity for children from birth to 21 years of age; and social, cultural, economic and demographic factors influencing the perinatal and pediatric needs of the communities served by the maternal and child health service region;

2. A description of current perinatal and pediatric services in the region at the time the plan is developed, including Medicaid managed care providers. This description shall include a list, by county, of all of the following:

i. Practicing obstetric, prenatal care and family planning providers;

ii. Practicing perinatal specialists, both nursing and medical;

iii. Practicing pediatric care providers, including family practice, primary care providers, and specialists serving children from birth to 21 years of age;

iv. A list of sites, both licensed ambulatory and private practice, where preconceptional health, family planning, genetic counseling, prenatal care, school based youth services, local government (child health conferences), pediatric primary care, pediatric long term care, pediatric rehabilitation services, mental health services, early intervention programs, child evaluation centers, and other specialized services are provided;

v. A description, by hospital, of the existing inpatient maternity, newborn and pediatric services to include all of the following:

(1) The number of traditional labor, delivery, recovery and postpartum beds, and/or the number of multi-function rooms, that is, labor-delivery-recovery or labor-delivery-recovery-postpartum rooms;

(2) Licensed intermediate care bassinet capacity and utilization;

(3) Licensed intensive care bassinet capacity and utilization;

(4) Licensed pediatric bed capacity and utilization;

(5) Licensed pediatric intensive care bed capacity and utilization;

(6) The number of pediatric admissions to hospitals without licensed pediatric beds;

(7) The number of pediatric patients admitted for ambulatory care sensitive diagnoses; and

(8) Documentation of the appropriate in-house and on-call coverage commitments by professional staff for ambulatory, emergency department and inpatient services in each facility;

vi. A list of sites where high-risk infant follow-up programs are provided; and

vii. A list of hospitals designated by the Department as Level I or Level II trauma centers;

3. An assessment of gaps in services developed by comparing the identified needs described in (b)1 above, with the current resources described in (b)2 above. A description of the potential need for new services or changes in the distribution of existing services within the region shall also be included;

4. A list of objectives that address identified gaps in existing hospital and community services within the region, and measurable outcome criteria and methods to achieve those objectives.

5. A plan that describes the use of mid-level practitioners, such as obstetric and pediatric nurse practitioners, family planning nurse practitioners, certified nurse midwives, other advanced practice nurses, and physician assistants, especially in areas of assessed provider shortages;

6. A prevention plan that describes both clinical (inpatient and ambulatory) and nonclinical services to be provided to mothers and families in the maternal and child health service region (both at risk and general) to help reduce the incidence of identified behaviorally-based perinatal problems, and includes a comprehensive risk assessment protocol;

7. A plan to assure access to culturally sensitive, community-based, preventive and primary services by all children that includes well-child and 24 hour sick care; and

8. A plan to develop an infant tracking system of all newborns in need of primary care.

N.J. Admin. Code § 8:33C-2.7

Amended by R.2007 d.293, effective 9/17/2007.
See: 39 N.J.R. 829(a), 39 N.J.R. 3915(a).
In (a), substituted "five years" for "three years".